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Haglund's deformity

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https://www.readbyqxmd.com/read/27843738/haglund-s-syndrome-a-commonly-seen-mysterious-condition
#1
REVIEW
Raju Vaishya, Amit Kumar Agarwal, Ahmad Tariq Azizi, Vipul Vijay
Haglund's deformity was first described by Patrick Haglund in 1927. It is also known as retrocalcaneal exostosis, Mulholland deformity, and 'pump bump.' It is a very common clinical condition, but still poorly understood. Haglund's deformity is an abnormality of the bone and soft tissues in the foot. An enlargement of the bony section of the heel (where the Achilles tendon is inserted) triggers this condition. The soft tissue near the back of the heel can become irritated when the large, bony lump rubs against rigid shoes...
October 7, 2016: Curēus
https://www.readbyqxmd.com/read/27663032/clinics-in-diagnostic-imaging-170
#2
Mohammad Taufik Bin Mohamed Shah, Bak Siew Steven Wong
A 30-year-old woman presented with a six-month history of left posterior heel pain. Physical examination revealed a tender, inflamed and indurated posterior heel with a visible bony prominence of the posterosuperior aspect of the calcaneus. Lateral ankle radiography showed a prominent left posterosuperior calcaneal tuberosity and thickening of the distal Achilles tendon outline. Magnetic resonance imaging demonstrated high-signal inflammatory fluid in the retrocalcaneal bursa, increased signal intensity and thickening of the Achilles tendon, and prominence of the posterior calcaneus tuberosity with reactive marrow oedema...
September 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27644578/efficacy-of-achilles-suture-bridge-technique-for-insertional-achilles-tendinosis-in-an-obese-and-athletic-patient
#3
Kazuaki Mineta, Naoto Suzue, Tetsuya Matsuura, Koichi Sairyo
Here, we report the efficacy of the suture bridge technique for treating insertional Achilles tendinosis in an obese and athletic patient. A 48-year-old man presented to our department with a 6-month history of left posterior heel pain. The patient was an athlete (triathlon) and appeared obese (height: 197 cm, body weight: 120 kg, body mass index: 30.9). A diagnosis of insertional Achilles tendinosis was made. Because 6 months of conservative treatments had failed, we performed open resection of the calcaneal exostosis and Haglund's deformity along with debridement of the degenerative tissue of the tendon...
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27614904/quantifying-the-pediatric-surgical-need-in-uganda-results-of-a-nationwide-cross-sectional-household-survey
#4
Elissa K Butler, Tu M Tran, Anthony T Fuller, Alexa Brammell, Joao Ricardo Vissoci, Luciano de Andrade, Fredrick Makumbi, Samuel Luboga, Christine Muhumuza, Vincent F Ssennono, Jeffrey G Chipman, Moses Galukande, Michael M Haglund, Emily R Smith
PURPOSE: Little is known about the prevalence of pediatric surgical conditions in low- and middle-income countries. Many children never seek medical care, thus the true prevalence of surgical conditions in children in Uganda is unknown. The objective of this study was to determine the prevalence of surgical conditions in children in Uganda. METHODS: Using the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey, we enumerated 4248 individuals in 2315 households in 105 randomly selected clusters throughout Uganda...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27524710/a-proposed-staging-classification-for-minimally-invasive-management-of-haglund-s-syndrome-with-percutaneous-and-endoscopic-surgery
#5
REVIEW
Turab Arshad Syed, Anthony Perera
Haglund's syndrome encompasses several different pathologies, including Haglund's deformity, insertional Achilles tendonopathy, retrocalcaneal bursitis, and superficial bursitis. Traditionally treated with open surgery, there is increasing interest in a more minimally invasive approach to this difficult region to reduce complications and improve the rate and ease of recovery. We review the evidence available for 2 of these techniques: the endoscopic calcaneoplasty and percutaneous Zadek's calcaneal osteotomy (also known as Keck and Kelly's osteotomy)...
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27320798/nerve-distributions-in-insertional-achilles-tendinopathy-a-comparison-of-bone-bursae-and-tendon
#6
Gustav Andersson, Ludvig J Backman, Jens Christensen, Håkan Alfredson
BACKGROUND/AIM: In a condition of pain in the Achilles tendon insertion there are multiple structures involved, such as the Achilles tendon itself, the retrocalcaneal bursa and a bony protrusion at the calcaneal tuberosity called Haglund's deformity. The innervation patterns of these structures are scarcely described, and the subcutaneous calcaneal bursa is traditionally not considered to be involved in the pathology. This study aimed at describing the innervation patterns of the four structures described above to provide a better understanding of possible origins of pain at the Achilles tendon insertion...
June 20, 2016: Histology and Histopathology
https://www.readbyqxmd.com/read/26869234/haglund-s-syndrome-two-case-reports
#7
Florencio Jiménez Martín, María Dolores Alonso Valdazo, Gara Díaz Peña, Julia Fernández Leroy, David Hernández Herrero, Fermín Díaz García
Haglund's syndrome produces posterior impingement of the heel, which is caused by a posterosuperior calcaneal exostosis, known as Haglund's deformity, associated with Achilles tendinitis and retrocalcaneal bursitis. Its pathogenesis is unknown. We report two cases that were diagnosed clinically and confirmed radiographically. One patient was treated conservatively and the other underwent surgery. The diagnosis is based on clinical signs and radiological images, using the measurement of the parallel pitch lines, in a lateral radiograph of the ankle...
February 8, 2016: Reumatología Clinica
https://www.readbyqxmd.com/read/26843543/characterization-and-surgical-management-of-achilles-tendon-sleeve-avulsions
#8
Jeannie Huh, Mark E Easley, James A Nunley
BACKGROUND: An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat because, unlike a midsubstance rupture, insufficient tendon remains on the calcaneus to allow for end-to-end repair, and unlike a tuberosity avulsion fracture, any bony element avulsed with the tendon is inadequate for internal fixation...
June 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26664538/-haglund-deformity-report-of-three-cases
#9
Amégninou Mawuko Yao Adigo, Néille Gbèssi Gnakadja, Yaovi Yanick Dellanh, Kokou Adambounou, Oni Djagnikpo, Lama Kegdigoma Agoda-Kousséma, Abikou Léon Adoko, Komlanvi Victor Adjénou
No abstract text is available yet for this article.
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/26459362/achilles-tendon-repair-in-obese-patients-is-associated-with-increased-complication-rates
#10
M Tyrrell Burrus, Brian C Werner, Joseph S Park, Venkat Perumal, M Truit Cooper
UNLABELLED: Objective The objective of the present study is to utilize a national database to examine the association between obesity and postoperative complications after primary Achilles tendon repair. Methods The PearlDiver database was queried for patients undergoing primary Achilles repair using CPT 27650. Excision of a Haglund's deformity or tendon transfer were exclusion criteria. Patients were then divided into obese (body mass index [BMI] > 30 kg/m(2)) and nonobese (BMI < 30 kg/m(2)) cohorts using ICD-9 codes...
June 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26253527/retrocalcaneal-pain-after-open-reduction-and-internal-fixation-of-avulsion-fracture-of-the-achilles-tendon-treated-by-endoscopic-adhesiolysis-and-endoscopic-calcaneoplasty-a-case-report
#11
Tun Hing Lui
UNLABELLED: Avulsion fracture of the Achilles tendon is uncommon. Open reduction and internal fixation is indicated for displaced fracture in order to restore the normal function of the Achilles tendon. We present a patient with avulsion fracture of Achilles tendon that was complicated by the development of secondary Haglund's deformity and fibrous adhesion between the Achilles tendon and the calcaneus. He was successful treated by endoscopic calcaneoplasty and endoscopic adhesiolysis...
June 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/25726481/achilles-tendoscopy
#12
REVIEW
Dominic Carreira, Alicia Ballard
Endoscopic surgery provides a minimally invasive approach to visualize and treat several pathologic conditions of the Achilles tendon. Open surgery on the Achilles tendon is notorious for wound complications, whereas endoscopic procedures have been recognized for less scaring, less perioperative pain, fewer wound complications, and faster recovery. This article reviews various endoscopic techniques for the treatment of equinus contracture, Achilles rupture, Haglund's deformity, and noninsertional Achilles tendinopathy...
March 2015: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/25610496/open-versus-endoscopic-bone-resection-of-the-dorsolateral-calcaneal-edge-a-cadaveric-analysis-comparing-three-dimensional-ct-scans
#13
Klaus Edgar Roth, Ramona Mueller, Eike Schwand, Gerrit Stefen Maier, Irene Schmidtmann, Murat Sariyar, Uwe Maus
BACKGROUND: It has been claimed that endoscopic calcaneoplasty offers some advantages over open techniques in the surgical treatment of Haglund's deformity due to reduced postoperative complications like stiffness and pain. Bony over-resection places patients at risk of these complications. The resulting question with regard to the quantitative differences of the extent of the bone removed using these two techniques has not yet been answered. The purpose of the study was to determine the resection volume of calcaneal bone for open and endoscopic surgical techniques...
2014: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/25279071/outcome-of-calcaneoplasty-in-insertional-achilles-tendinopathy
#14
Sm Lim, Ej Yeap, Yw Lim, M Yazid
ABSTRACT: HASH(0x3948558) BACKGROUND: Insertional Achilles tendinopathy may be associated with Haglund's deformity and result in chronic pain. It is usually refractory to conservative management. The aim of this study was to assess the outcome of calcaneoplasty performed in our hospital. METHODS: Eight patients were prospectively evaluated pre- and postoperatively using the American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot Score, Visual Analogue Scale (VAS) and Short Form (SF) 36, as well as satisfaction rate...
June 2012: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/25179453/can-we-measure-the-heel-bump-radiographic-evaluation-of-haglund-s-deformity
#15
Gythe H Bulstra, Thijs A van Rheenen, Vanessa A B Scholtes
Haglund's deformity is a symptomatic posterosuperior deformity of the heel. The lateral radiograph of the ankle will show a prominent, large, posterosuperior part of the calcaneus, which can be measured using the Fowler and Philips angle (FPA, the angle between the posterior and plantar surface of the calcaneus) and the calcaneal pitch angle (CPA, the angle between the sole of the foot and the plantar part of the calcaneus). Although these angles are commonly used, these radiographic angle measurements have never shown a relationship with Haglund's deformity...
May 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/24901588/perioperative-posterior-heel-pain-caused-by-multiple-etiologies-including-a-neuroma-in-continuity-of-the-posterior-branch-of-the-sural-nerve-a-case-report
#16
REVIEW
Stephen L Barrett, Nathan L Larson
Posterior heel pain after a prior Haglund's deformity surgical correction can be resultant to multiple etiologies: osseous, tendinous, and neural. In this case report, all three potential etiologies were found to be contributing to the postoperative status of the patient. This case report illustrates identification and treatment of a neuroma in continuity of the posterior branch of the sural nerve with preservation of the sural nerve itself via microdissection, which we believe has not been described previously in the literature...
May 2014: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/24067993/ultrasound-assisted-calcaneoplasty
#17
Tomislav Madarevic, Ivan Rakovac, Lana Ruzic, Anton Tudor, Davorka Gudac Madarevic, Tomislav Prpic, Branko Sestan
PURPOSE: The endoscopic technique for resection of a postero-superior part of calcaneus served as a golden standard during the last 10 years, and it has mostly replaced the open techniques. In an effort to reduce the morbidity and the recovery time, we had introduced the ultrasound-assisted technique. METHODS: In the period of 1 year, 15 patients with the prominent postero-superior part of calcaneus and retrocalcaneal bursitis were operated through the single skin incision using the ultrasound-assisted technique...
September 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/23738309/calcific-spurs-at-the-insertion-of-the-achilles-tendon-a-clinical-and-histological-study
#18
Kristian Jarl Johan Johansson, Janne Julius Sarimo, Lasse Lennart Lempainen, Tiina Laitala-Leinonen, Sakari Yrjö Orava
In active people, insertional calcific tendinopathy (CT) of the Achilles tendon is rare. We evaluated the results of surgical treatment for Achilles tendon CT and analyzed post-surgery Achilles tendon histological features. The study included 36 operations in 34 patients. Twenty-eight (78%) cases had a resection of a Haglund's deformity performed. The mean age of the patients was 42 years (range=23 to 68). Thirteen of the patients were professional athletes and 20 recreational athletes. In twenty-five (69%) cases, the result of surgery was rated good, in nine cases (25%) moderate and in two (6%) cases poor...
October 2012: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/23709539/tuberculosis-of-the-calcaneum-masquerading-as-haglund-s-deformity-a-rare-case-and-brief-literature-review
#19
REVIEW
Elizabeth Gillott, Pinak Ray
An Asian man presented to the Foot and Ankle Clinic with a 5-month history of right ankle pain of gradual onset. He had a non-fluctuant swelling around the Achilles tendon insertion with a tender palpable lump. Radiograph demonstrated Haglund's deformity and also possible calcification at the attachment of the Achilles tendon for which he had an injection of a local anaesthetic and a steroid to treat the insertional Achilles tendinitis. A few months later, he developed acute anorexia, abdominal distension secondary to ascites and groin lymphadenopathy...
May 24, 2013: BMJ Case Reports
https://www.readbyqxmd.com/read/23637672/development-of-a-whole-disc-organ-culture-system-to-study-human-intervertebral-disc
#20
M Parolin, R Gawri, F Mwale, T Steffen, P Roughley, J Antoniou, P Jarzem, L Haglund, J Ouellet
STUDY TYPE:  Basic science Objective:  Low back pain is one of the most common health problems1 and is strongly associated with intervertebral disc degeneration, (IVD). Current treatments remove the symptoms without reversing or even retarding the underlying problem. Development of new therapy for the regeneration of the degenerative IVD is complicated by the lack of a validated long-term organ culture model in which therapeutic candidates can be studied. The object of this study was to develop, optimize, and validate an organ culture model for human IVD, allowing for the study of degeneration and the potential for regeneration of the human IVD...
August 2010: Evidence-based Spine-care Journal
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